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Structure and microstructure of coronary dentin in non-erupted human deciduous incisor teeth.

The dentin structure of non-erupted human deciduous mandibular and maxillary central and lateral incisor teeth was studied employing light and scanning electron microscopy. For light microscopy, nitric-acid-demineralized and ground sections were used. The sections were stained by hematoxylin-eosin, picrosirius and azo-carmine methods, and ground specimens were prepared using a carborundum disk mounted in a handpiece. For SEM study, teeth were frozen in liquid nitrogen and fractured at longitudinal and transversal directions. Structurally, demineralization and ground methods revealed tubules with primary and secondary curvatures, canaliculi, giant tubules, interglobular dentin, predentin, and intertubular dentin. Scanning electron microscopy showed three-dimensional aspects of dentinal tubules, canaliculi, peritubular dentin, intertubular dentin, and predentin. This study contributes to knowledge about dentin morphology showing characteristics of teeth not yet submitted to mastication stress.

Dentin↗

Coronal dentinal tubules of non-erupted deciduous incisors.

The diameter and density of coronal dentinal tubules were assessed in non-erupted human deciduous incisors. Using liquid nitrogen, frozen samples were fractured in longitudinal and oblique directions and observed by means of a Jeol JSM-6100 scanning electron microscope. It was observed that the diameter of dentinal tubules ranged from 0.50 to 1.94 micrometers and increased significantly from the outer to the inner layers. However, comparing the incisal, middle and cervical thirds, no statistically significant differences were observed. The number of tubules per square millimeter varied from 3,281 to 32,313 and also increased from the external dentinal surface to the dentinal surface of the pulp chamber.

Cadaver↗

Clinical study on eruption of permanent canines after secondary alveolar bone grafting.

OBJECTIVE: Eruption of cleft-associated permanent canines was studied in 190 patients with unilateral cleft lip/palate and whose permanent canines had not erupted at the time of alveolar bone grafting. In 162 of these patients, width of bone defect was compared between patients who underwent surgical exposure of canines and those whose canines erupted naturally. RESULTS: Cleft-associated canines naturally erupted after bone grafting in 150 patients (78.9%) and required surgical exposure in 36 patients (18.9%). Cleft-associated canines had not yet erupted in two patients. Two patients were lost to follow-up. Nasal-side bone defects were significantly wider in patients who underwent surgical exposure of cleft-associated permanent canines than in those whose cleft-associated permanent canines erupted naturally. CONCLUSIONS: The present results suggest that nasal-side cleft width is related to the need for surgical exposure of permanent canines in children with cleft lip/palate.

Adolescent↗

Hurler syndrome: a case report.

Hurler syndrome is an inherited disorder of mucopolysaceharide metabolism, which is caused by a defect in genetically controlled pathways of lysosomal degradation. It represents the classical prototype of mucopolysaccharide disorder. An interesting case of a three and a half-year old boy with a rare combination of skeletal, neurological, ophthalmologic, and dental findings is presented. It is a rare syndrome with a very low prevalence of 1:100,000 births and as such the clinician should be aware of this syndrome.

Child, Preschool↗

Eruption disturbances of mandibular permanent incisors.

In this study, we analyzed 7 eruption disturbance cases of mandibular permanent incisors (5 males and 2 females), aged 5y9m to 10y4m. The etiology was divided into 3 categories: traumatic injuries (3 cases), odontomas (2 cases), supernumerary teeth (2 cases). The procedures such as removal of cause (4 cases), surgical exposure (5 cases) and traction (1 case) were done.

Child↗

Impacted primary mandibular central incisors: case report.

Impaction of primary teeth is very rare especially in the maxillary anterior teeth. A tooth that fails to erupt into a normal functional position by the time it normally should, is considered impacted. The purpose of this article is to present a case of a 2 year and 4-month-old male with an impacted primary mandibular central incisors. Clinical examination did not reveal systemic diseases or trauma in the facial region. Clinical and radiographic examinations are described. Treatment consisted of a period of observation for 6 months and the extraction of the impacted primary mandibular central incisors. Eight months after the surgery, the permanent central incisors were erupted in the proper position.

Child, Preschool↗

Amelogenesis imperfecta and nephrocalcinosis: a new case of this rare syndrome.

This article describes a new case of a rare syndrome including enamel agenesis of the primary and permanent dentition, delayed or absent eruption of the permanent dentition, coronal intra-alveolar resorption and gingival enlargement. Renal symptoms include medullary nephrocalcinosis without any apparent cause, and evolution to a renal failure. The early diagnosis provided by the oral symptoms leads to a better renal prognosis. As a consequence, pediatric dentists should be aware of this pathology.

Adolescent↗

Failure of eruption of first and second permanent molars.

Failure of eruption of permanent molars is an uncommon condition with a range of possible causative factors. This retrospective study of 35 pediatric subjects assesses the influence of these factors in the prognosis. The study aims to broaden our understanding of an abnormality, which has a considerable clinical impact, and proposes a treatment protocol for the management of these patients.

Adolescent↗

Retarded eruption of maxillary second premolars associated with late development of the germs.

This study focused on five unusual cases with anomalous eruptions of the maxillary second premolars that related to late development of the germs. In four cases, the affected premolars erupted between the ages of 12y3m and 14y6m. In one case, which was suspected to include bilateral anomalies, the eruption of the premolar was excessively late, continuing up to 17y8m old. It was surmised that the degree of tooth formation in the contralateral side might help to predict approximately at what age the late premolars will erupt.

Adolescent↗

Pre-eruptive intracoronal dentin defects of permanent teeth.

This study was conducted to determine the prevalence of pre-eruptive intracoronal dentin defects from panoramic radiographs from a group of children and young adults aged 20 years and below. The radiolucent lesions were noted with regard to which teeth were affected, the location of the defects and the size of the defects relative to the width of dentin. Out of 1007 radiographs examined, 275 (27.3%) have pre-eruptive dentin defects. The prevalence of anomaly among males was 28.4% as compared to 26.2% among females. However, the difference between genders was not significant, thus subsequent results have been combined. Of 275 subjects with dentin radiolucencies, 243 subjects (88.7%) had only one affected tooth, 30 subjects (10.9%) had two teeth affected and 2 subjects (0.7%) had three affected teeth. The tooth prevalence of the anomaly was 2.1% and most of the lesions occurred as a single occurrence on the affected tooth. Within each tooth type, the highest tooth prevalence of intracoronal dentin defect was found in the upper first premolar (5.1%). More than half of the lesions extended less than 1/3 of the width of the dentin thickness. The high prevalence of the condition indicates the need for increased awareness and recognition of this during radiographic examination of teeth in the pediatric age group in early pre-eruptive stages so that early detection and diagnosis can be made and treatment can be done at the most appropriate time.

Adolescent↗

Eruption cysts: a clinical report of 24 new cases.

The eruption cyst (EC) occurs within the mucosa overlying a tooth that is about to erupt. In the past EC was considered a type of dentigerous cyst (DC) occuring in the soft tissues. Twenty four patients (mean age 4.44 years, range 1.0 month-12 years) with EC were diagnosed and treated. EC was associated with natal teeth in two (8.3%) cases, with primary teeth in 10 (41.6%) cases and with permanent teeth in 12 (50%) cases. There was a gender predilection, the male to female ratio was 2:1. The primary mandibular central incisors and the permanent first molars were the most common site affected. The clinical appearance was a raised, bluish gingival mass on the alveolar ridge. The size was variable and dependent on the size and number of the associated teeth. The type of treatment provided was one of the following: no treatment (10 cases, 42%), extraction (2 cases, 8%) and marsupialization (12 cases, 50%). All surgical specimens underwent histopathologic examination. EC should be recognized as a separate entity from DC and a conservative treatment approach is recommended.

Child↗

Alveolar bone height in infraoccluded primary teeth.

The purpose of this research is to describe the distance from the cemento enamel junction (CEJ) to the alveolar bone crest (ABC) of infra occluded primary molars and the adjacent and opposing teeth. Bitewing radiographs from 29 children (mean age 98.8 months; SD 21.2), who had infra occluded molars, were scanned and measured. The results of these measurements found that the means of the CEJ-ABC distances of the mesial and distal aspects of the infra occluded teeth were 0.78 mm (SD 0.3) and 0.94 mm (SD 0.32) respectively. Pearson correlation coefficient analysis revealed no significant correlation between the different measurements, except when comparing the measurements in the infra occluded tooth and those of the opposing tooth. It was concluded that the CEJ-ABC values for infra occluded primary molars are shorter than normal values. The CEJ-ABC distances of the opposing and adjacent teeth to the infra occluded tooth are within normal limits.

Adolescent↗

Lower mesiodens: report of an unusual case.

This report describes a case of an 11 years old girl presenting a supernumerary tooth between lower central incisors. The case initially required only surgical treatment to remove the lower mesiodens. Sequentially, the patient was referred to an orthodontic therapy due to a presence of diastema.

Child↗

Eruption cyst treated with a laser powered hydrokinetic system.

Eruption cysts are benign cysts that appear on the mucosa of a tooth shortly before its eruption. The majority disappear on their own. If they hurt, bleed or are infected they may require surgical treatment to expose the tooth and drain the content. Here we present a clinical case of a six-year-old child with an eruption cyst on the permanent maxillary central left incisor, which was handled using treatment with an Er,Cr-YSGG laser. It did not require suture, there was no haemorrhage, swelling, infection or postoperative pain. The treatment of eruption cysts with this technique facilitates obtaining the cooperation of pediatric patients and makes behavior management by the pediatric dentist easier.

Child↗

Multiple developmental dental anomalies and hypermobility type Ehlers-Danlos syndrome.

Concurrent existence of multiple developmental dental anomalies: hypodontia of permanent mandibular incisors, dentin dysplasia, transmigration, root dilaceration, ectopic eruption and delayed eruption combined with systemic abnormalities including joint hyperlaxity and skin hyperextensibility aided in diagnosis of a sporadic case of hypermobility type of Ehlers-Danlos syndrome in a Jordanian Arab male. In dental practice the presence of multiple developmental dental anomalies expressing simultaneous defects in different stages of tooth development should raise suspicion of possible of manifestation of an underlying systemic abnormality.

Adolescent↗

Regional odontodysplasia: report of case.

A case of regional odontodysplasia in an 8 year-old male whose chief complaint was the absence of eruption of permanent teeth is presented. The regional odontodysplasia is a rare development anomaly of the dental tissues that affects the primary and permanent dentitions involving several adjacent teeth without crossing the midline. The clinical, radiographic and histological aspects are described as well as the treatment accomplished through surgery and prosthetic rehabilitation.

Child↗

Treatment of gingival fibromatosis associated with Zimmermann-Laband syndrome.

BACKGROUND: Gingival fibromatosis is a rare condition characterized by a generalized enlargement of the buccal and lingual aspects of the attached and marginal gingiva. METHODS: This case report describes the periodontal management of a 13-year-old female patient with gingival fibromatosis associated with Zimmermann-Laband syndrome. The patient presented with gingival enlargement involving the maxillary and the mandibular arches, anterior open bite, and non-erupted teeth. Periodontal treatment included gingivectomy in all four quadrants. RESULTS: Histopathologic evaluation of the excised tissue supported the diagnosis of gingival fibromatosis. A significant improvement in esthetic appearance and eruption of the non-erupted teeth were obtained. The patient was referred for appropriate orthodontic treatment and has been closely followed for the earliest signs of recurrence of gingival enlargement. CONCLUSIONS: The successful therapy for gingival fibromatosis depends on correctly identifying the etiological factors and improving the impaired function and esthetic appearance through surgical intervention and adjunctive orthodontics. Maintaining treatment results depends on preservation of periodontal health.

Abnormalities, Multiple↗

Oral reconstructive and corrective considerations in periodontal therapy.

This paper was prepared by the Research, Science and Therapy Committee of the American Academy of Periodontology. It is intended to provide information for the dental profession and other interested parties. The purpose of this paper is to provide a general overview of oral reconstructive and corrective procedures used in periodontal therapy. It is not intended to be a comprehensive review of this subject.

Connective Tissue↗